Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $14.66 / $14.66	Facility		$12.00	$14.66	$14.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $14.66 / $29.56	Professional		$9.10	$14.66	$29.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $17.63 / $33.75	Professional		$14.50	$17.63	$33.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $21.07 / $25.24	Professional		$8.38	$21.07	$25.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $14.09 / $14.66	Facility		$12.00	$14.09	$14.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $14.66 / $20.79	Professional		$14.09	$14.66	$20.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $33.55 / $33.55	Professional		$22.37	$33.55	$33.55
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $20.84	Professional		$15.00	$15.00	$20.84